[59F] Experiencing neurological and cardiovascular symptoms

What might be happening

Based on the information you've provided, there are several possibilities that could explain your symptoms:

• Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body. The pins and needles sensation you're experiencing could be a symptom of this condition.

  • Diagnostic tests for peripheral neuropathy may include neurological examinations, nerve function tests, blood tests, and imaging tests.
  • Treatment typically involves managing the condition causing your neuropathy and relieving symptoms. Some people also benefit from physical therapy.

• Migraines: You've been suffering from migraines since childhood, and they've become more frequent in recent years. Migraines can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. They're often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.

  • Treatment for migraines usually involves pain-relieving medications and preventive medications.

• Tinnitus: This is the perception of noise or ringing in the ears. It's a common problem that affects about 1 in 5 people. Tinnitus isn't a condition itself — it's a symptom of an underlying condition, such as age-related hearing loss, ear injury or a circulatory system disorder.

  • Treatment for tinnitus depends on the underlying cause. In many cases, however, the cause isn't known or can't be treated. In such cases, treatments can help manage the constant ringing, hissing or buzzing you hear.

• Vision Problems: The blurry vision you're experiencing could be due to a variety of conditions, such as presbyopia, cataracts, glaucoma, macular degeneration, diabetic retinopathy, or a refractive error.

  • Treatment for vision problems depends on the underlying cause and may include glasses, contact lenses, medications, or surgery.

• Hypertension: You've mentioned that your blood pressure fluctuates throughout the day. Hypertension, or high blood pressure, can lead to serious health problems, such as heart disease, if not managed effectively.

  • Treatment for hypertension usually involves lifestyle changes and medications.

What you can do

Given the variety and complexity of your symptoms, it's important to seek medical attention. Your healthcare provider can perform a thorough evaluation, order necessary tests, and develop a treatment plan tailored to your needs. In the meantime, here are some general suggestions:

1. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage many of your symptoms.
2. Monitor your blood pressure: Regularly monitoring your blood pressure at home can help you and your healthcare provider understand how well your treatment plan is working.
3. Manage stress: Stress can exacerbate many of your symptoms, including migraines and tinnitus. Techniques such as deep breathing, meditation, and yoga can help manage stress.
4. Protect your vision: Regular eye exams can help detect vision problems early, when they're most treatable.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Sudden, severe headache or migraine
• Sudden loss of vision or double vision
• Sudden difficulty speaking or understanding speech
• Sudden weakness or numbness on one side of your body

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.